WSJ: Trump, FDA Clash Over Flavored Vape Approvals

President Donald Trump has increased pressure on FDA Commissioner Marty Makary to accelerate approval of flavored vaping products, revealing growing friction within the administration over public health policy and political strategy. Trump has criticized Makary for moving too slowly on authorizing flavored e-cigarettes, including fruit varieties previously rejected, and advisers have said Makary has stalled the administration’s vaping agenda by blocking applications for flavors such as mango and blueberry. This marks a shift from Trump’s first-term support for flavored-vape restrictions and a higher tobacco purchasing age to his 2024 campaign pledge to “save vaping,” a move partly aimed at younger conservative voters. Makary has resisted approving flavors that could attract underage users, citing public health risks, and is weighing whether to soften that position. The dispute occurs amid broader scrutiny of Makary on drug approvals, staffing, and criticism from industry and advocacy groups. Public health authorities warn that no tobacco products, including e-cigarettes, are safe, citing nicotine addiction risks, exposure to harmful chemicals, and youth vulnerability. While some experts note that e-cigarettes may help adult smokers switch from combustible tobacco if used exclusively, benefits remain under study. The White House push highlights tension between regulatory caution and political calculation, with Trump viewing flavored vaping as culturally resonant with certain voters and regulators balancing potential harm reduction for adults against documented risks to youth.

(Source：Newsmax.com)